umcRN BSN, RN

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All Content by umcRN

  1. umcRN

    What to do about refusing Dr. orders?

    umcRN replied to nancynurse0828's topic in General Nursing

    This I disagree with. In my pedi ICU, at the end of every patients rounds, the patients nurse summarizes the plan for the day. This includes stating what we have for central access and if the access...
  2. umcRN

    CCRN Books

    umcRN posted a topic in PICU, Pediatric

    Just wondering what books/study guides people suggest for the CCRN. I work peds cardiac ICU so I've got a lot of studying to do r/t picu topics. Any suggestions welcome
  3. umcRN

    CCRN Books

    umcRN replied to umcRN's topic in PICU, Pediatric

    I will let you know! @tryingtohaveitall, I have that book too, the newer version, little dense but I know I will use it as reference
  4. umcRN

    CCRN Books

    umcRN replied to umcRN's topic in PICU, Pediatric

    Thanks! I will check it out! I have been thinking of going to NTI, Boston is my home city, not where I currently live/work :-( but I am thinking it will be a great excuse to go home and a great...
  5. umcRN

    Growing a Premie: Neonatal TPN

    umcRN replied to mvaidya's topic in NICU, Neonatal

    Hmm I have no idea. Our nutritionists do the TPN orders
  6. umcRN

    Nicu Nurses- what does your unit do with bedside supplies

    umcRN replied to laurens115's topic in NICU, Neonatal

    Our lab tubes all have the expiration dates on the tube, once a month we go through the ones in our carts to check for expired stuff, techs go through carts in empty
  7. umcRN

    Nicu Nurses- what does your unit do with bedside supplies

    umcRN replied to laurens115's topic in NICU, Neonatal

    In the bedside drawers: Diapers, measuring tape, clothes/blankets/hats/socks etc. Extra snuggies Every patient also has a full 5 drawer supply cart where we keep everything from lab tubes to wound...
  8. umcRN

    Dedicated med lines

    umcRN posted a topic in PICU, Pediatric

    I just wanted to get a sense of what other facilities do with their dedicated med lines that are attached to central lines that may have other things running through them. For instance if you have a...
  9. umcRN

    Brigham and Women's Hospital

    umcRN replied to DolphinRN84's topic in Massachusetts Nursing

    I used to work there as a tech. The 8th floor (a/b/c/d) was all cardiac-surgical, one half was icu one half was stepdown. However since opening the shapiro building they moved all the cardiacs over...
  10. umcRN

    PT Pulls out their NG tube...boss says I need to fill out an event report?

    umcRN replied to mindlor's topic in General Nursing

    Interesting. We fill out reports for unplanned/accidental extubations (breathing tubes) but NG tubes? Heck kids can gag or cough those things out, don't need to have their hands anywhere near
  11. umcRN

    Feeling down; Received first bad evaluation

    umcRN replied to dankat's topic in PICU, Pediatric

    our new grads get a 6 month orientation, so 3-4 months doesnt seem that adequate to me anyways. At two months we want our new grads charting everything, starting to talk with doctors and starting to...
  12. umcRN

    New Cardiac Cath Lab

    umcRN replied to Bwise3487's topic in CCU, Coronary, Cardiac

    **plus she coded during the cath so even if she had not been intubated prior to that point she would have wound up intubated during the
  13. umcRN

    New Cardiac Cath Lab

    umcRN replied to Bwise3487's topic in CCU, Coronary, Cardiac

    If you're talking about my patient, we intubate all pediatric patients prior to cath & use general anesthesia for sedation. It's hard to knock a little one out enough to get them to hold still for...
  14. umcRN

    How did you handle your first patient dying?

    umcRN replied to rubato's topic in Patient, Colleague Relations

    This probably sounds strange, but my first (in the NICU) was a beautiful post term baby whose only "problem" was that she was born at 43 (yes 43) weeks and was essentially a stillborn but was...
  15. umcRN

    New Cardiac Cath Lab

    umcRN replied to Bwise3487's topic in CCU, Coronary, Cardiac

    mmm this week I had a PERFECT example of cath gone wrong. 1730 I get report form cath nurse (diagnostic cath mind you), everything looks good, kiddo did great, they were going to bring her back...
  16. umcRN

    Periorbital edema in hemorragic stroke?

    umcRN replied to all517's topic in Neuro Intensive Care, ICU

    I had severe cerebral edema related to a brain tumor. Tumor was positioned in my frontal lobe behind my right eye. Prior to my diagnosis (and continuing until tumor was removed) I had swelling all...
  17. umcRN

    Ethical Issues in Neonatal Care

    umcRN replied to NRSKarenRN's topic in NICU, Neonatal

    I do have to say, 623g seems pretty big for a 21+
  18. umcRN

    New Cardiac Cath Lab

    umcRN replied to Bwise3487's topic in CCU, Coronary, Cardiac

    ugh. I don't think ANY cardiac caths are "low risk". I work in a peds CVICU and while their hearts are obviously much smaller, it only takes a fraction of a tenth of a centimeter to perf a ventricle,...
  19. umcRN

    As a nurse will I be exposed to dead patients a lot?

    umcRN replied to Mrs.Davis's topic in General Nursing

    Basically just make sure each unit has the resources it needs to deal with pediatric deaths. Each unit also has a bereavement council (ideally). Unlike in the adult world, when little ones die...
  20. umcRN

    Pulled to other floors?

    umcRN replied to DroogieRN's topic in MICU, SICU

    We pull ICU to ICU and acute to acute. I don't know what the ER does when they need help. When I started new in the cardiac ICU I had to do one week shadowing on our stepdown unit just to get a feel...
  21. umcRN

    As a nurse will I be exposed to dead patients a lot?

    umcRN replied to Mrs.Davis's topic in General Nursing

    This is so true. A sweet sweet baby boy I had come to love died recently. I had a deep bond with him and his family. When he finally passed it was me who went in there to tell the family, doctor...
  22. umcRN

    When others ask what you do...

    umcRN replied to KelRN215's topic in Pediatric

    This past week has been very, very hard for me. A primary patient of mine passed away very suddenly, from a cause no one saw coming. He had been on our unit 2 months but that was short considering the...
  23. umcRN

    overly pleasant demeanor after CA diagnosis?

    umcRN replied to ashleyisawesome's topic in Oncology

    Interesting question. Can't people just have their own way of dealing with things? I was diagnosed with a brain tumor 10 months ago. Yes, I drove home in a bit of a daze but the diagnosis made...
  24. umcRN

    MRSA colonization

    umcRN replied to HarleyNrs's topic in NICU, Neonatal

    isolation for life at my children's hospital. SO if they are readmitted to PICU or any of the acute care floors they are always on
  25. umcRN

    Awake, alert, oriented & non ventilated...on ECMO??

    umcRN posted a topic in PICU, Pediatric

    Just a random question. I was doing some research on my own and stumbled across this youtube video: I don't know who the child is or why she is on ECMO but what caught me off guard was that she was...